Factores asociados al cambio de tratamiento de hipoglicemiantes orales a insulina en pacientes con diabetes mellitus tipo II mayores de 35 años en el periodo julio 2018 a julio 2019 en el Hospital General Guasmo Sur.

Abstract

The present study seeks to determine which are the most relevant factors for patients with type 2 diabetes mellitus to have changes in their treatment of oral insulin-containing hypoglycemic agents that have been treated in the outpatient clinic of the General Guasmo Sur Hospital in the period of July 2018 to July 2019. Given that the predominant sex during this study was female with 53% compared to 47% representing male. In general, the factor that was most associated with the change in treatment was the low efficacy of oral antidiabetics in patients, representing 24.6% of the total sample, while the factor that was least associated were serious kidney complications, that is, patients who are already on dialysis. Further detailing the investigation, it was decided to divide the sample by age groups, with 60% (90 patients) being in the group between 35 and 64 years old, and 40% (60 patients) were older than 65 years, where in the first group, the factor that was most present was likewise the low efficacy of oral antidiabetics and the least associated was that of patients with severe kidney complications, that is, dialysis; while in the second group over 65 years of age, the factor that was most associated was that of patients with mild to moderate kidney complications, those who still did not need dialysis and the factor that was least found was that the patients did not adequately follow the treatment that was established in the first place.